Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,218.00 / $17,701.00	Facility		$1,919.00	$6,218.00	$17,701.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,919.63	Facility		$66.00	$100.00	$6,919.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,816.42 / $1,819.64 / $3,253.30	Facility		$1,816.42	$1,819.64	$3,253.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $231.00 / $681.47	Professional		$152.63	$231.00	$681.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $413.51 / $565.76 / $1,002.25	Professional		$413.51	$565.76	$1,002.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,420.64 / $5,246.20 / $16,394.00	Facility		$2,420.64	$5,246.20	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $406.07 / $537.39 / $736.35	Facility		$406.07	$537.39	$736.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,087.00 / $7,335.00 / $14,743.00	Facility		$3,087.00	$7,335.00	$14,743.00